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own accounts, IC, employee with benefits, acute or clinic?

Posted By: nm on 2008-11-13
In Reply to: How much do you.... - Carla

nm


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variables: clinic v. acute, employee (benefits) v. IC (pay taxes);
nm
varies: clinic/acute, employee/IC, own accounts/pool.
nm
depends; clinic/acute, IC/employee, pool/own accounts....
nm
When I applied looking for acute care, Jane told me it's 70% clinic and 30% acute. nm
s
That was with full benefits, which are the same benefits as an in-office employee for the QA staff..
However, I hear that their current QA staff are being asked to reach numbers that are out of sight and goals are basically impossible.
IC positions offer no benefits, employee positions off full benefits, so if you do not need
benefits, then IC would be best.
Clinic and acute are very different.
I think acute care is much easier personally, but I've done mostly clinical stuff for 8 years now.  I've only done acute care for a few months but I think it is much easier.  Of course, my old clinic had every type of doctor known to man lol.
Acute vs. Clinic

I cut my teeth on acute care - real baptism by fire - and by comparison clinic would have been an easier start for me working from home, but I'm glad for the experience.  Acute is so much more technical that, if you're willing to do it on production, you should be prepared for the income hit that can come with the learning curve.  If you can go in-house to get the experience, I'd suggest that.  However, if you want to continue from home, keep knocking - with your years of clinic experience, I'm sure someone will give you an opportunity.


i currently get a mix of clinic and acute care; sm
i get all different report types (clinic, acute, and various types), different facilities, just a big mix and yep it hurts on production. i have worked for MTSO before that assigned us set report types like i did consults and discharges. i was way much more productive there than i have ever been.
acute care vs. clinic

A walk-in clinic would still be considered clinic work.  When applying at a company that classifies experience as acute care and/or clinic work, acute care is the term used to designate hospital dictation. 


Acute care clinic

The reason I called it acute care clinic, is to convey that it was not a specialty clinic.  Our patients were there for acute care, and it was a clinic.


But you are right, I am knew to the transcription world outside of what my doctor expected.  I have read at least 5 text books on MT, but all emphasize asking your employer which format is preferrable. 


I was also wondering, on these online tests,  do they want verbatim, even if it is incomplete or run on sentences, or am I to make them complete by using "and" etc.


try for a company with both clinic/acute
if you can get on a clinic account with a company, down the road you may be able to train for an acute account with that company.
Do you do acute care or clinic?
nm
i went from clinic to acute care..
with no problem.  i work for 4 big hospitals and yes, there are a lot of doctors, but they tend to dictate all at the same time so i will get a bunch of dictations from the same doc in a row.  also, sometimes it seems like i get all ortho for a day or all ds for a day or all psych for a day.  i think it all depends on who you work for.  don't be afraid, jump in.  that's the only way to start and with all those acute job openings, i don't think anyone is going to tell you that you don't have the experience. 
clinic to acute work
I so understand where you are coming from.  I did clinic work for 16+ years and could never break into the acute care but just recently someone gave me the chance.  I thought I would have a hard time but I have had no problem and made my line count within a week.  I am soooo grateful someone finally gave me the chance.  Keep trying! 
clinic to acute care?
How do you transition from clinic work to acute care work?      I have done about a year of radiology work, which is what I started out doing.  I went to in-house family practice for 3 years.  Now I do GI and clinic notes.  I have also done a pain management clinic.  I have been doing transcription for about 6 years now.  I can't test for acute care because I do not have the 2 years required.  I tried working at a hospital part-time or PRN actually.  The drive and gas plus it was a second job for me, killed me and my budget.  It was an hour drive one way. 
clinic to acute care
I'll be starting with a new MTSO in a couple of weeks and will be doing acute care ONLY.  It's been a great many years since I've transcribed acute care; have only done clinic dictation for quite some time.  Can you guys give me some pointers to help me ease in to the transition? 
16 years, 1 radiology, 7 clinic, 8 acute
.
clinic notes to acute care

Has anyone gone from doing clinic notes for different specialities to acute care in a hospital?  I have been a Transcriptionist for four years and lost most of my work to India.  I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital.  I never did hospital work.  This will exclude lab and X-ray reports.  I am a little scared.  Any good sites to brush up on for documents or any words of wisdom?


Thanks!!



Need to vent acute care/vs clinic

I just have to vent and get some opinions on this.  I have started a job at a hospital.  I have done clinic notes for about 4years about 3 different specialities. I type normally 175 lines -200 at the most on a good day.  Since I started the hospital one week ago, I cannot get past 550-600 in a 7 hour day.  They told me until I get my line count up to 1000, I cannot go home to work, which is what I am suppose to be doing.  There are so many specialities, operative reports and procedures that I have never done and so many things to learn, I am losing so much of my speed looking stuff up. Does this take a long time learn?  Was I crazy to think I could do acute care vs clinic these past 4 years.  I am starting to doubt my intelligence here and thinking I am way out of my ballpark taking this on.  Has anyone else gone from clinic to acute care? Help!!



I went from clinic to acute care last year...
And then went back to clinic. I hated the acute care maybe because I think I had one of the worst accounts ever! Terrible dictators. It was such a big change. I didn't like it and I went back to clinic. You can do it and you could adjust in time but to be honest I wasn't making nowhere near enough money to bother with it. If the money was right it would be worth it but for not much money it wasn't worth it for me.
Clinic work to acute care
You are on the right track but it's just that no one has given you the break. Most MTs start with clinic notes and then wait for a break into the Big 4 doing acute care. Don't get discouraged. Yes by all means, test away and you might just get lucky. Take any job you can doing acute care even if the pay and hours are bad just to get experience under your belt.

It's not easy making a go of it these days even with tons of experience. Ya gotta be a little clever and have a game plan. Look at it as a challenge and keep at it. Best of luck to you.
Acute care vs. Clinic reports-

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?


Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....


10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
I don't buy that. Benefits should be part of being an employee. sm
Why else would one want to be an "employee" and be required to work certain hours if not for the benefits.  I work for a mid-sized company, and we get paid for stated holidays plus PTO.  We must ask for the day off, but we get paid either way.  If we choose to work the holiday, we get holiday plus plus our line rate pay.  However, I don't find our PTO generous since sick time, downtime, and vacation time is all rolled into PTO.
Only 7 or 8 cpl for clinic and acute unless they've changed recently. nm
s
Acute Care or Clinic????? Which is easier? Where can I make more
I have been transcribing clinic reports for the past 3-1/2 years (not for the same clinic).  My company does have some acute care accounts and occasionally asks for someone to switch.  I was just curious if anyone had any opinions on which is easier.  I mean where can I be faster and a better lph.. clinic or acute care?  TIA
Clinic work or acute care question....sm
If you were offered a job by two different companies, the benefits were the same, line rate was the same, everything was the same except one was exclusively acute care and the other was clinic, which would you choose and why?  I have two offers and everything is even except for the type of work.  I would think clinic work you could get more lines, but then it is not as marketable later if I have to switch companies as staying acute care would be.  Any input? 
I have 3 jobs, 1 FT doing acute care, and 2 PT doing clinic work. sm
It can be a challenge juggling things, and I really do not have much of a social life, but for now it works.  It not only keeps the wolf away from the door but allows me to build up a little nest egg and save for a mega vacation I have planned in November to celebrate turning 50.  Having goals definitely helps me get through it all. 
Acute care position with clinic experience???
Can anyone help or advise me? I have 3 years of clinic experience, but I would like to break in to acute care. It seems like I run into the same brick wall that I ran into with no experience.  Does anyone have any leads or advice as to acquiring acute care employment with clinic experience only? What do I need to do? Thanks.
I started on Acute care, then went to clinic work, - sm
and then back again. I found clinic work to be more challenging, plus it often included radiology. I think it's more a matter of just getting familiar with each institution's way of doing things, along with new doctors, and getting familiar with a few new terms (which don't we all do every single day, anyway?) than it is one being easier or harder than the other.
Difference in Acute Care vs. Clinic reports

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?


Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....


difference in Acute Care vs Clinic Reports
I thought so.  Thanks!
No benefits with own accounts
You will not have any benefits with your own accounts and if you take any time off you either lose money by paying someone else to do your accounts or come back to all the work.  Basically you have to either send out flyers, brochures, or postcards or make cold calls to offices.  You have to be prepared to do tapes or ditital.  Not all accounts are like mine and pay within 2 working days and so you have to be prepared to wait 10 to 15 days for your check.  You have to be prepared to work sick, give up time with family or holidays when you first start out because you are the only one doing the account and you want to keep them happy or your pay check stops.  Simply to start - advertise yourself and your business.  Just like selling a house or any other business- gotta get out there and tell them you are available.  But be prepared to give it 200% in the beginning  and 150% to keep them at times.  Again, no benefits except the knowledge you are working for yourself and making a go of it. 
What if you are employee.. but no benefits, no paid vacation
nm
What are the benefits of working as a statutory employee?
x
if you have benefits, doesnt that make you an employee?
nm
I made 9 cpl doing rad (employee). I also do acute care.
There are places where life as a rad MT is very, very good (and no, there are no openings, sorry!).
rad/acute accounts

I am contracted with a hospital to do acute acare and radiology.  I have been understanding that radiology usually is made more.  Doing both do you get paid the same for both or bill differently for radiology?


Thanks


Is it harder to reach your daily line count on acute care or clinic?
nm
I've never seen mixed acute care & clinic at the same time. That's a production killer for sur
s
well, of course you make more with your own accounts cuz you're not employee
nm
I get close to 9 cpl as an IC doing clinic notes. No chance of raise unless I find my own accounts
x
I have my own accounts and I work as an employee, but we are not talking about BEING an MTSO, we are

the MTSO's offer.  If you are a well-trained, knowledgeable medical Transcriptionist with experience and you are looking for an IC job or an employee position with an MTSO, then you are worth more than 8 or 9 cpl.  If all you do is sit and transcribe all day long, you are worth more than 8 or 9 cpl. 


I really don't know what you're getting at.  Not everyone has the capabilities, time, or money to start their own service.  Not everyone is good at pounding the pavement and finding their own accounts.  I'm not a salesperson to say the least.  I lucked into my own personal accounts and if I hadn't, I'd be working for one of the MTSOs, but I'm not.  My full-time employee status job is with a hospital for the benefits only and it pays hourly with incentive.  Right now, that's the only employee status job worth taking is through an actual hospital, NOT an MTSO.  At least at the hospital, you get a decent wage and get great benefits.  Oh, there are a few good MTSOs out there, but they are very few and far between.


IC versus employee, accounts, transcription type, platform,
nm
Right. Can't compare the two. Just like you can't compare clinic and doc office work to acute
.
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.
Allegiant has clinic accounts and is busy, busy, busy
If you're an IC and are looking for plenty of work, freedom to set your own hours, low daily line requirement (500), great supervisors, and easy clinic accounts, then Allegiant may be the right company for you. You can apply by going to www.allegianttranscription.com.

Allegiant's pay scale is 7 cpl also, but would you rather get 7 cpl and easily transcribe 250 lph or get 10 cpl and struggle to do 150 lph. Give me 7 cpl any day and spare me the headache.
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
Excuse me but federal taxes are paid as employee by employee
The ONLY difference in IC is you pay the ENTIRE amount of the SS which is the 15.25%, as an employee you only pay 7.75%.  And you can easily make up that difference in deductions.  As an employee you just have someone else manage your withholdings and as an IC you do it yourself.  I have much more usable income being an IC and not an employee and I am strict about putting aside what I need to.  But everyone always says you have to pay your own taxes, well your employer does not PAY them for you -- except 7.75% of SS, they merely withhold it for you.  As an IC you are the employer.